I have pure o ocd, and I’m filling out my heirarchy but I’m struggling to understand triggers and therefore exposures. I generally just get thoughts for no reason, particularly when my mind is idle I just start scanning for potential worries, and there aren’t any specific triggers like with contamination ocd. When I have a specific worry, it just pops up - and although my compulsions are clear (rationalising, reassurance seeking). How do you build out triggers and exposures in this case? Do I need to just think about the worry without doing the compulsion?

One problem - Various themes This is my first post. I had a relapse a few months ago. Life was amazing and then boom, I got triggered by something and started spiralling about my sexuality (having finally been at peace for two years, entered a healthy new relationship and come out of the closet as an older women). How do you, when you're not triggered practice ERP? I'm able to try and accept the thoughts every time I see a man. What should I be doing when I don't encounter these triggers. I was to say as well that I also am starting to get real event OCD about some of the sexual things I did in the past when I was married and in an unhealthy toxic relationship with my ex husband. I am shamed and disgusted and I'm working on it but there's a certain subsection of the LGBTQ community that trigger these thoughts, groinals and thing for me... I feel like I'm beginning to realise I need to maybe be a little more active in my recovery instead of waiting for triggers... But I don't know how

So I've been working to address my OCD for about a month now. So far, I haven't been working on it with a therapist and have instead been trying to create my own exposure exercises. The primary obsession I'm working on is the fear that I'm somehow flawed or invalid on a fundamental level. The best way I can describe it it is that its similar to the feeling you get when you have germ OCD and you feel contaminated, except my whole existence and being feels contaminated, so to speak. I've identified a list of triggers, and a list of compulsions (pretty much all mental) that I've noticed myself performing. I started out by doing imaginal exposures and scripts where I'd write out triggering fictional scenarios and read them over and over, combined with mindfulness techniques to focus on my breath and bring myself back to the present when I noticed myself performing compulsions mentally. At first it worked to some extent, but eventually I started to feel like the stories I was writing about this obsession weren't triggering any anxiety anymore or a very low level. So I stopped reading them and focused solely on improving my ability to stay present and identifying compulsions as I perform them, and disengaging. Now, I'm at the point where it seems like my general anxiety levels throughout the day are lower, and the triggers I've identified are producing noticeably less anxiety. But that makes me wonder if somehow I'm just secretly doing mental compulsions without knowing it? Is only a month of rather disorganized and unstructured ERP enough to produce this much improvement? To avoid giving me re-assurance, I'd appreciate if you guys don't directly answer those questions, maybe just provide some possibilities or your own experiences so I can get a better idea of where I'm at. Any info would be appreciated. Thanks!

Hi! It’s pretty difficult for me to get the courage to post this but I’m really struggling to figure out if what I’m experiencing is OCD or Anxiety or neither. I think I have the “pure O” type of OCD where most of my compulsions take the form of ruminating and trying to figure out something all in my head. When I hear this talked about in forums or online the intrusive thoughts don’t really match mine- I worry often about things that seem more “grounded” if that makes sense. A common one for me is my own identity- i will spend long amounts of time stuck in my head trying to figure out my feelings (often sadness or other real emotions I have and patterns I have) and why I feel that way and what in my life caused that and how it’s impacting other things in my life. I also think often about which parts of my personality are the real me and which aren’t. Sometimes this takes the form of strictly ruminating and sometimes I have fake conversations with people I know. It’s intense and I feel I have to figure it out but with no specific intrusive thought that says something like “you have to figure this out or all of your loved ones will die” but it’s very intense. I think also often of all of the decisions I need to make in the future and how they’re going to affect those I love and care about as well as how much I’ll regret them. I imagine all of the ways I think my actions will emotionally hurt others and how to make the least harmful decision, but to me this feels like a valid concern but go over and over and never come to a conclusion. I often just get scared and never make any move because I don’t see an option that doesn’t hurt someone somehow. But again I’m having a hard time identifying the intrusive thought behind it. But I also don’t choose to think about these things most of the time. This is almost all decisions but especially big life decisions. It’s such a struggle because they are things I eventually do have to make decisions about. There is so much more to it that would take too long to explain but in general a lot of my fears revolve around pleasing others/ understanding others emotions to ensure they’re okay, my own identity and personality, and work/school performance. Someone mentioned OCD to me because in my head it feels like I have to solve these things and will go over and over them but I seriously can’t figure out if it’s anxiety, OCD, or none of the above. It’s all very disruptive to my life. I am never not thinking or not trying to figure something out and I feel as if I have no control over it Anyone have any insight?